A very atypical manifestation of angina is toothache. People with toothache do not have dental lesions, such as tooth decay or swollen gums, etc. For recurrent toothache with a clear cause, one must be alert to angina pectoris. This toothache is a radiating sensation and may be accompanied by chest pain radiating to the teeth, or in some cases, a tightening sensation in the neck or pain in the back or left upper limb. Some people have a history of hypertension, coronary heart disease and diabetes. If the gums themselves are not diseased, it is important to be vigilant.